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1The Controversies and Challenges in the Management of Twin Pregnancy: From the Perspective of International Federation of Gynecology and Obstetrics Guidelines显示文摘The rate of multiple pregnancy is increasing, mainly because of the widespread use of assisted reproduction techniques and families’ desire for twins. Twin pregnancy accounts for a higher risk of chromosomal abnormalities, structural malformations, and neonatal adverse events than singleton pregnancy. The presence of artery-vein anastomoses, unbalanced placenta sharing, and abnormal cord insertion in monochorionic twins is associated with twin complications such as twin-to-twin transfusion syndrome, selective intrauterine growth restriction, and twin anemia polycythemia sequence. Although many guidelines and studies have established and improved the processes about the antenatal surveillance and management of twin pregnancy, they also raise more controversies and challenges. This review aims to highlight the international consensus on the antenatal care of twin pregnancies and analyze the controversies and predicaments based on the published International Federation of Gynecology and Obstetrics guidelines and research.Jingyu Liu Quanrui Liu Jingya Zhao Danlun Li Yi Zhou 2022Maternal-Fetal Medicine2022,4,4:0
2双胎贫血-红细胞增多序列征报道1例显示文摘双胎贫血-红细胞增多序列征(TAPS)是单绒毛膜双羊膜囊妊娠中双胎间胎盘细小动静脉吻合支异常的慢性输血并发症,是无明显羊水及体重差别的双胎输血综合征的特殊类型,产前产后根据超声、血红蛋白分期。本文报道1例TAPS(Ⅴ期)双胎儿的救治过程,以加强产科及超声科医师对本病的认识,及时宫内干预或适时终止妊娠,减少双胎儿严重合并症。闵凡红 2023妇儿健康导刊2023,2,7:0
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